cfs cancellations specialist

claims examiner iii

sales coordinator

claims specialist

TEEMA Group

<div>Claims Examiner III &ndash; Workers&rsquo; Compensation
Role Summary
The Claims Examiner III is responsible for independently managing the full lifecycle of Workers&rsquo; Compensation indemnity claims, from initial reporting through final resolution. Operating with minimal supervision, this role requires strong analytical judgment, regulatory knowledge, and a commitment to delivering timely, accurate, and compliant claim outcomes.
This position plays a critical role in supporting employers and injured employees by ensuring claims are handled with professionalism, urgency, and integrity. The ideal candidate is organized, service-oriented, and confident in navigating complex claim scenarios within established authority levels and statutory guidelines.
This is an excellent opportunity for an experienced claims professional seeking autonomy, responsibility, and meaningful impact in a structured and collaborative office environment.
Duties &amp; Responsibilities<ul><li>
Manage loss-time Workers&rsquo; Compensation claims within Texas jurisdiction from inception through closure</li><li>
Investigate, evaluate, and determine compensability in accordance with statutory regulations and internal guidelines</li><li>
Administer and issue benefit payments accurately and within required timelines</li><li>
Ensure compliance with all applicable state laws, regulatory standards, and client-specific handling instructions</li><li>
Prepare detailed, formal captioned reports that meet client documentation requirements</li><li>
Communicate effectively and professionally with clients, claimants, employers, attorneys, and internal stakeholders</li><li>
Provide exceptional customer service while assisting employers and injured employees in understanding the Workers&rsquo; Compensation process</li><li>
Maintain organized, accurate claim files and documentation</li><li>
Demonstrate strong time management and sense of urgency in claim handling</li><li>
Collaborate with management and fellow claims professionals to ensure consistent, high-quality outcomes</li><li>
Consistently maintain on-site office attendance in a timely manner to support team operations and client engagement</li><li>
other duties as assigned</li></ul>
Required Qualifications<ul><li>
High School Diploma or GED required</li><li>
Minimum five (5) years of related Workers&rsquo; Compensation claims handling experience, or equivalent combination of education and experience</li><li>
Current Texas Workers&rsquo; Compensation Adjuster License</li><li>
Strong knowledge of Texas Workers&rsquo; Compensation statutes and indemnity claim handling</li><li>
Ability to manage claims independently with minimal supervision</li><li>
Excellent written and verbal communication skills</li><li>
Strong organizational skills and attention to detail</li><li>
Professional demeanor with a positive, team-oriented attitude</li><li>
Ability to interact effectively with clients, claimants, and internal teams</li></ul>
Desired Qualifications<ul><li>
Bachelor&rsquo;s degree in Business, Risk Management, Insurance, or related field (preferred)</li><li>
Experience handling complex or high-exposure indemnity claims</li><li>
Demonstrated ability to prepare formal client-ready reports</li><li>
Proven track record of delivering high-quality customer service</li><li>
Strong problem-solving and decision-making skills</li></ul>
About the Organization
This organization is a professional risk management and claims administration firm committed to delivering responsive, compliant, and high-quality claims services. The culture emphasizes accountability, collaboration, and client satisfaction while empowering employees with the autonomy and support needed to succeed.
Location &amp; Work Type
On-site position in an office environment.
Full-time, exempt role. Regular in-office attendance is required due to the collaborative and client-facing nature of the position.
#Workwolf</div>

Claims Examiner III

TEEMA

<div>Job Summary
Workers Compensation Claims Examiner III
TeemaGroup
Full-time- CONTRACT 3-4 months could be longer
In-Office | Irving, TX, United States<ul><li> 
POSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines. 
 
This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position. 
 
DUTIES AND RESPONSIBILITIES: 
Handle loss time Workers&rsquo; Compensation claims in TX Office&mdash;Texas Jurisdiction 
Handle claims as per Best Practices, SOC 1 and client Claims Handling Instructions 
The ability to prepare a formal captioned report on claims meeting client requirements 
Well organized and CAN-DO attitude. 
Ability to effectively communicate in a professional manner 
Provide great customer service 
Assist employers and their employees understand the Workers&rsquo; Compensation process 
Investigate, evaluate, determine compensability, pay benefits timely as required and 
comply with all statutory requirements 
A good sense of urgency 
Ability to get along well with others with a positive attitude 
 
EQUIPMENT OPERATED/USED: Computer, 10-key, fax machine, copier, printer, and other office equipment. 
 
SPECIAL EQUIPMENT OR CLOTHING: Follow company dress code 
 
QUALIFICATIONS REQUIRED: 
 
Education/Experience: High School Diploma or GED required; Bachelor&rsquo;s degree in related field (preferred); five (5) or more years related experience; or equivalent combination of education and experience. 
 
Other Qualifications: 
Workers&rsquo; Compensation Adjusters License for the State of Texas</li></ul>
QUALIFICATIONS REQUIRED
Education &amp; Experience<ul><li>Claims Examiner II:</li><li>Bachelor&rsquo;s degree in a related field (preferred)</li><li>Claims Examiner III:</li><li>Minimum 5+ years of progressive workers&rsquo; compensation claims experience</li><li>Demonstrated experience handling complex and litigated indemnity claims</li></ul>
#Workwolf</div>

Workers Compensation Claims Examiner III

CHRISTUS Health

<div>Description 
Summary:
The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this Job is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts. The Job works in a cooperative team environment to provide value to internal and external customers.
 
The associate carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of CHRISTUS Health, and fully supports CHRISTUS Health's Mission, Philosophy, and core values of Dignity, Integrity, Compassion, Excellence, and Stewardship.
Responsibilities: 
<ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
</li><li>Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics.
</li><li>Ensures PFS departmental quality and productivity standards are met.
</li><li>Collects and provides patient and payor information to facilitate account resolution.
</li><li>Responds to all types of account inquiries through written, verbal, or electronic correspondence.
</li><li>Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers. Maintains working knowledge of all functions within the Revenue Cycle.
</li><li>Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution.
</li><li>Meets or exceeds customer expectations and requirements, and gains customer trust and respect.
</li><li>Compliant with all CHRISTUS Health, payer, and government regulations.
</li><li>Exhibits a strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines.
</li><li>Appropriately documents patient accounting host system or other systems utilized by PFS in accordance with policy and procedures.
</li><li>Provide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
</li><li>Must have professional and effective written and verbal communication.
</li></ul><ul><li>Billing
</li><li>Review and work on claim edits.
</li><li>Works payor rejected claims for resubmission.
</li><li>Works reports and billing requests.
</li><li>Demonstrates strong knowledge of standard bill forms and filing requirements.
</li><li>Exhibits and understanding of electronic claims editing and submission capabilities.
</li></ul><ul><li>Collections
</li><li>Collect balances due from payors ensuring proper reimbursement for all services.
</li><li>Identifies and forwards proper account denial information to the designated departmental liaison. Dedicated efforts to ensure a proper denial resolution and timely turnaround.
</li><li>Maintain an active knowledge of all collection requirements by payors.
</li><li>Works collector queue daily utilizing appropriate collection system and reports.
</li><li>Demonstrates knowledge of standard bill forms and filing requirements.
</li><li>Identify and resolve underpayments with the appropriate follow-up activities within payor timely guidelines.
</li><li>Identify and resolve credit balances with the appropriate follow-up activities within payor timely guidelines.
</li><li>Identify and communicate trends impacting account resolution.
</li></ul><ul><li>Cash Reconciliation
</li><li>Ensures all payments are retrieved and posted accurately and timely through reconciliation of patient accounting system and bank statement.
</li><li>Researches submitted cash payments by verifying patient account numbers and appropriate facilities.
</li><li>Monitor and performs cash reconciliation to identify cash posting errors and ensures all receipts are applied and reconciles to daily bank deposit and monthly bank statements.
</li><li>Review and post cash corrections, including resolving patient complaints and inquiries from PFS, Finance, Facilities, and Vendor Partners.
</li><li>Resolve and Research unapplied cash, including continuous follow-up until payment identification is made for application of payment or refund.</li></ul>
Job Requirements: 
Education/Skills
<ul><li>HS Diploma or equivalent years of experience required.
</li><li>Post HS education preferred.
</li></ul>Experience
<ul><li>3-5 years of experience preferred.
</li><li>Experience working within a multi-facility hospital business office environment preferred.
</li><li>College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.
</li><li>Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred.
</li></ul>Licenses, Registrations, or Certifications
<ul><li>None required.</li></ul> 

Work Schedule: 
8AM - 5PM Monday-Friday
Work Type: 
Full Time</div>

Patient Financial Representative Senior - Patient Financial Services

Caterpillar

<div>Career Area:
Technology, Digital and Data
Job Description:
Your Work Shapes the World at Caterpillar Inc.
When you join Caterpillar, you're joining a global team who cares not just about the work we do &ndash; but also about each other. We are the makers, problem solvers, and future world builders who are creating stronger, more sustainable communities. We don't just talk about progress and innovation here &ndash; we make it happen, with our customers, where we work and live. Together, we are building a better world, so we can all enjoy living in it.
Caterpillar uses analytics to identify and create opportunities for the workforce to deliver on our business priorities. Some typical opportunities include identifying markets and segments with key skills and talent to execute on businesses priorities, modeling scenarios and risks to our current and future talent, evaluate the effectiveness of operations and strategic initiatives, and recommend key areas to influence outcomes with data and insights. Our global team will provide analytical thought leadership for COEs, Segments, and Functional solutions and initiatives.
The principal responsibility of Workforce Insights Specialist is to provide a unique combination of statistical expertise, critical thinking, business acumen, inquisitiveness and creativity to deliver workforce solutions and insights across the enterprise. In addition, they will continue to elevate thinking amongst the analytics team, COPs, and all its partners to grow the analytical capabilities across all HR.
Some challenges of this role include working with Segments and COEs that may have conflicting priorities; shifting paradigms and thinking regarding data and analytics; balancing the need for precision vs minimally viable solutions; scaling the significant demand for data and analytics to focus on value added activities.
The Workforce Insights Specialist will elevate the rest of the team by establishing sound analytic approaches addressing business challenges across the enterprise. The role reports into a Global Analytics Lead that is responsible for helping build a data driven culture and create analytical solutions that improve decision making and reveal new opportunities. They must demonstrate good communication skills to explain conclusions to customers and leaders across all levels of the organization.
What You Will Do:
<ul><li>Possess knowledge of business concepts, tools, and processes that are needed for making sound decisions in the context of the company's business; ability to apply this knowledge appropriately to various situations.</li><li>
Oversee the acquisition and consumption of data from structured and unstructured sources, while ensuring quality and comprehensiveness of data for use in analyzing business activities, detecting patterns, and communicating trends.</li><li>
Demonstrate an ability to utilize various methods and techniques, including AI, to frame opportunities and conduct analyses that result in productive decisions.</li><li>
Develop predictive data models, quantitative analyses, and implement semantic data capabilities utilizing machine learning techniques.</li><li>
Lead data exploration and analytics projects and provide on-going coaching regarding visualizations, data mining, and analytic techniques.</li><li>
Demonstrate an ability to tell a story with data and create compelling ways to use data to drive actions.</li></ul>
What You Have:
<ul><li>Business Statistics: Knowledge of statistical methods, analytical techniques, and data interpretation practices used to identify business needs, uncover opportunities, detect trends, and support data-driven decision-making through analysis.</li><li>
Accuracy and Attention to Detail: Understanding the necessity and value of accuracy; ability to complete tasks with high levels of precision.</li><li>
Analytical Thinking: Knowledge of techniques and tools that promote effective analysis; ability to determine the root cause of organizational problems and create alternative solutions that resolve these problems.</li><li>
Machine Learning &amp; Artificial Intelligence: Understanding of machine learning and artificial intelligence technologies and their application in data analysis; ability to use AI-driven approaches to interpret data, recognize patterns, and support evidence-based decision-making.</li><li>
Programming Languages: Knowledge of basic concepts and capabilities of programming; ability to use tools, techniques and platforms in order to write and modify programming languages.</li></ul>
Considerations For Top Candidates:<ul><li>
Bachelor&rsquo;s degree, preferably in statistics, economics, mathematics, or a similar field,</li><li>
Experience working with Snowflake and AWS highly preferred</li><li>
Knowledge of programming languages with R preferred followed by Python</li><li>
Experience working with BI tools such as Power BI and Tableau.</li><li>
Strong consultative skills, initiative, and the ability to communicate and tell compelling stories with data.</li><li>
Ability to utilize AI responsibly to streamline and enhance analytics approaches to solve workforce challenges.</li></ul>
Additional Info:<ul><li>
This position may require 10% travel.</li><li>
This position would ideally sit in Dallas, TX; with additional locations that include Nashville TN and Peoria IL</li><li>
This position requires in-office work schedule 5 days a week.</li></ul><ul><li>
Relocation assistance is offered for this position.</li><li>
Sponsorship will not be offered.</li></ul>
Summary Pay Range:
$97,530.00 - $158,480.00
Compensation and benefits offered may vary depending on multiple individualized factors, job level, market location, job-related knowledge, skills, individual performance and experience. Please note that salary is only one component of total compensation at Caterpillar.
Benefits:
Subject to plan eligibility, terms, and guidelines. This is a summary list of benefits.<ul><li>
Medical, dental, and vision benefits*</li><li>
Paid time off plan (Vacation, Holidays, Volunteer, etc.)*</li><li>
401(k) savings plans*</li><li>
Health Savings Account (HSA)*</li><li>
Flexible Spending Accounts (FSAs)*</li><li>
Health Lifestyle Programs*</li><li>
Employee Assistance Program*</li><li>
Voluntary Benefits and Employee Discounts*</li><li>
Career Development*</li><li>
Incentive bonus*</li><li>
Disability benefits</li><li>
Life Insurance</li><li>
Parental leave</li><li>
Adoption benefits</li><li>
Tuition Reimbursement</li></ul>
<ul><li>These benefits also apply to part-time employees</li></ul>
This position requires working onsite five days a week.
Relocation is available for this position.
Visa Sponsorship is not available for this position.
Posting Dates:
July 10, 2026 - July 19, 2026
Any offer of employment is conditioned upon the successful completion of a drug screen.
Caterpillar is an Equal Opportunity Employer, Including Veterans and Individuals with Disabilities. Qualified applicants of any age are encouraged to apply.
Not ready to apply? Join our Talent Community.</div>

Workforce Insights Specialist - Data Science

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4 claims specialist jobs In Irving

Claims Examiner III

Workers Compensation Claims Examiner III

Patient Financial Representative Senior - Patient Financial Services

Workforce Insights Specialist - Data Science